Destiny Jackson, OTR/L | |
327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763-9474 | |
(256) 517-9277 | |
Not Available |
Full Name | Destiny Jackson |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 327 Old Highway 431 Ste C, Owens Cross Roads, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154074961 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5763 (Alabama) | Primary |
Provider Name | Choice Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1952544769 PECOS PAC ID: 9436201035 Enrollment ID: O20090713000273 |
Mailing Address | Practice Location Address |
---|---|
Destiny Jackson, OTR/L 101 Short Track Dr, New Market, AL 35761-7929 Ph: (256) 898-5940 | Destiny Jackson, OTR/L 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763-9474 Ph: (256) 517-9277 |
Mrs. Emily Len Murray, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-517-9277 | |
Madison Nicole Ray, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-517-9277 | |
Piper N Cleveland, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-517-9277 Fax: 256-517-9279 | |
Brittany Foster, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-517-9277 | |
Jocara Bernard, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 327 Old Highway 431 Ste C, Owens Cross Roads, AL 35763 Phone: 256-517-9277 |